Advanced Care Basic, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ADVANCED CARE BASIC, LLC

Practice address

3 Emerson CT
Middletown, DE 19709-1646

Phone

(215) 586-1393

Fax

(302) 378-3697

NPI assigned

Jan 26, 2018

Last updated

Dec 4, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hallie K Dennison, CRNP

Title

Nurse Practitioner

Phone

(215) 586-1393

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hallie Katrina Forsythe-Dennison, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, DE
  • NPI 1568852358
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670112000000",
    "number": "1174021992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EMERSON CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091646",
            "telephone_number": "215-586-1393",
            "fax_number": "302-378-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EMERSON CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091646",
            "telephone_number": "215-586-1393",
            "fax_number": "302-378-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE BASIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2022-12-04",
        "certification_date": "2022-12-04",
        "status": "A",
        "authorized_official_last_name": "DENNISON",
        "authorized_official_first_name": "HALLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "215-586-1393",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Akihito Addogoh, DNP, PMHNP-BC, FNP-C
• Tolulope Aderibigbe
• Admire Medical, LLC
• Vincent Yao Adofoli, DC
• Adult and Adolescent Medicine of Middletown,LLC
• Advanced Family Care LLC (Advanced Family Care)
• Advanced Injury Clinic, Inc
• Patrick Adzadu, MSW, M.ED
• Affinity Wellness & Consultants
• Jerise Atock Agha, NP

• Psychiatric/Mental Health Nurse Practitioner in Middletown, DE
• Providers in Middletown, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.